Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $1,659.59	Professional		$831.76	$1,513.56	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Professional		$1,513.56	$1,513.56	$1,698.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,290.87	Professional		$1,778.28	$1,905.46	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,659.59	Professional		$1,288.25	$1,412.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,995.26	Professional		$1,230.27	$1,513.56	$1,995.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,513.56 / $2,238.72	Professional		$29.51	$1,513.56	$2,238.72